Become a part of our caring community and help us put health first
 

The Medical Records Retrieval Representative (Risk Adjustment Representative 2) travels to provider offices within the state of Pennsylvania and scans medical records into a secure system. The records are reviewed by Humana's Coding staff.

South central PA within the counties of: Adams, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Perry or York.

Medical Records Retrieval Representative (Risk Adjustment Representative 2)

• Travels up to 100% in assigned territory and other areas as needed.

• Travel will consist of driving to locations close to your home in an assigned territory and other areas as needed. Overnight travel may be required within the Northeast region on occasion.

• Collaborates with provider offices through phone calls and visits.

• Uses multiple EMR systems to access records following all HIPAA guidelines.

• Uses a laptop computer, portable scanner, and external thumb drive to retrieve medical records which will be uploaded into a database.

• Schedules appointments and visits to physician offices in a timely, efficient manner to meet all deadlines.

• Will assist with regional phone calls and administrative projects as needed.

In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:

• Medical Benefits
• Dental Benefits
• Vision Benefits
• Health Savings Accounts
• Flex Spending Accounts
• Life Insurance
• 401(k)
• PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
• And more

Use your skills to make an impact
 

Required Qualifications

• 1+ years of experience working with various Electronic Medical Records (EMR) systems

• 1+ years of experience in a hospital and/or provider setting

• Must reside in south central PA within the counties of: Adams, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Perry or York.

• Must be available to travel up to 100% of the time, occasional overnights

• Ability to travel overnight occasionally within the region (Northeast)

• This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits

Preferred Qualifications

• Proficiency in Microsoft Office applications, including Word, Excel, and Teams

• Previous experience in a managed care setting

• Familiarity with medical terminology and/or ICD-10 codes

• Medical record retrieval experience

Additional Information

Hours- 8 to 5 (but could be as early as 7 depending on provider office.) Hours subject to change based on business needs

This role will be located in the state of Pennsylvania with travel to other areas as needed.

Work at Home/Remote Requirements

Work-At-Home Requirements

• To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
  • Wireless, Wired Cable or DSL connection is suggested.
  • Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership.  (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
  • Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota.  Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
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